Application for Admission

Application Process

If you need to continue an application, please Log In Here.

Step 1: Complete the Application Form below. All items marked with a star ( * ) are required. If you need to save your work and come back to it later, hit the save button at the bottom of the page to initiate the process.

Step 2: Take the ACT/SAT pre-admissions testing for the desired program.

Step 3: Request OFFICIAL Transcripts from ALL previous educational institutions (including high school).
Submit transcripts to the BHSLR admissions office at:

Baptist Health Schools Little Rock
Attn: Admissions
11900 Colonel Glenn Road
Little Rock, AR 72210

Selection for entry into the Baptist Health Schools Little Rock is determined by the appropriate program's Selection Committee, by use of rating methodology.

* Program for which you are applying













* First Name
* Middle Initial
* Last Name
Other Names
* Social Security Number
XXX-XX-XXXX
* Current Street Address
* City
* State
* Zip Code
Permanent Street Address (if different)
City
State
Zip Code
* Primary Phone
XXX-XXX-XXXX
Secondary Phone
XXX-XXX-XXXX
* Email Address
Name of Parent(s) or Legal Guardian(s) if under 18 years of age
full name
full name
* Have you previously attended Baptist Health Schools Little Rock?

If yes, which program did you attend?
*NOTE TO APPLICANT: If you have previously attended BHSLR and are re-applying to the same program, you must complete a reentry packet in lieu of the online application.

If yes, dates attended: (ex. 09/08-07/09)

* Have you previously attended another nursing or allied health program of study?

If yes, please list the program(s) and the institution(s):

If yes, what was your reason for leaving?

* Are you a resident of Arkansas?

* Is English your native language?

If "No," results of TOEFL are required. If you have an International Transcript, results of TOEFL are required.

* If selected for entry, can you provide proof that you are either a U.S. citizen, or a permanent resident?

* Please list the high school you graduated from. If you received a GED, enter "GED" as the High School and complete City, State and Year Graduated.

High School:

City:

State:

Year Graduated (or Tested):

* Please list in chronological order any educational institutions you have attended, beginning with the most recent. Official transcripts from ALL educational institutions attended are required. ALL includes colleges, universities, vocational schools, private schools, military schools, private career schools, etc.
In-State Institution Out of State Institution City State Year Started Year Ended Degrees/Certificates
I have additional post-secondary education that will not fit in the fields above.

***If you are currently enrolled in an educational institution, please provide an in-progress transcript.
* Have you ever been employed at a healthcare facility (including Baptist Health)?

If yes, please list location(s) and date(s) of employment:

Location:

Dates:
ex. 09/08-07/09
Reason for Leaving:


Location:

Dates:
ex. 09/08-07/09
Reason for Leaving:


Location:

Dates:
ex. 09/08-07/09
Reason for Leaving:


* Please list in chronological order all employment held within the past FIVE (5) years. (If employment history does not exist, enter "No Employment".)
Employer City State Dates Employed
ex: 09/08-07/09
Job Title Reason for Leaving

Demographic Data:
Note to Applicant: This information is used for statistical and reporting purposes only and does not in any way affect the eligibility for selection. This information will not be shared with selection committees.

* Gender


* County of Permanent Residence


If other, please specify:
County: State:

* Race/Ethnicity

Check one

(If selected, please specify below)







(If selected, please specify below)

If "Two or more races" or "Other" is selected, please specify:

* Residence Status


If other, please specify:

* Date of Birth

MM/DD/YYYY format (e.g., 09/01/1997)

I hereby make application for selection to the Baptist Health Schools Little Rock and declare that the information on this application is complete and accurate. I understand that any misrepresentation, falsification, omission of information, or any other attempt to deceive the school is cause for either denial of selection for entry or dismissal from enrollment and that any future application(s) shall not be considered by the Baptist Health Schools Little Rock. I give Baptist Health and BHSLR permission to conduct all required clearances and verifications, including but not limited to, criminal background check, reference checks, and employment and educational verifications. BHSLR may utilize application documents from previous application files.

Additional information: An answer of "Yes" to the following questions does not necessarily bar you from selection.


*Have you ever been convicted of or pleaded guilty or no contest to committing ANY CRIME? (Note: You may omit speeding tickets or non-moving violations; however, you must report any "under the influence" convictions or pending cases (e.g. DUI, DWI). You may omit any conviction that has been annulled, expunged, or sealed by a court.)
* Do you have any unresolved arrests, warrants or pending criminal charges against you?
* Regarding civil lawsuits or administrative complaints alleging child abuse, spouse abuse, elder abuse, patient abuse, harassment and/or dishonest, violent, or discriminatory conduct (such as fraud, embezzlement, theft, assault, battery, etc.), have you ever been found liable (i.e., judgment was rendered against you) in any such matter, or is any such matter currently pending against you?
* Have you ever been the subject of any exclusion, suspension or debarment action by the General Services Administration (GSA), Office of Inspector General (OIG) or any other federal health care program, including but not limited to Medicare, Medicaid, or Tricare?

Baptist Health does not discriminate on the basis of age, creed, physical challenges, gender, marital status, national origin, race or religion.

My typed name below shall have the same force and effect as my written signature.

* Signature

First & Last name

By entering your name, you are "signing" this document.

Please note: If you submit multiple online applications, only the last submitted application will be retained and processed.